Ay. Belanger et G. Noel, FORCE-GENERATING CAPACITY OF THUMB ADDUCTOR MUSCLES IN THE PARALLEL AND PERPENDICULAR PLANE OF ADDUCTION, The Journal of orthopaedic and sports physical therapy, 21(3), 1995, pp. 139-146
The description of thumb movements, especially for adduction at the ca
rpometacarpal joint, still gives rise to a confusion among clinicians
and researchers. The purpose of this study was to elucidate this confu
sion by comparing twitch, tetanic, and voluntary isometric force measu
rements of thumb adductors with the thumb positioned perpendicular and
parallel to the palm of the hand. Fourteen healthy adult subjects, ag
ed between 22 and 40 years, volunteered their participation. Maximum t
witch, tetanic, and voluntary contractions were recorded using a strai
n-gauge mounted on a wooden platform. Twitch and tetanic contractions
were evoked by an electrical stimulator that passed current through su
rface electrodes to the skin overlying the ulnar nerve at the wrist. T
he results show no statistical difference for the tetanic and voluntar
y force measurements between the two planes of adduction (p > 0.5). Th
e significant changes observed for the twitch responses between the tw
o planes were attributed to a change in the compliance of the muscle-t
ransducer unit. To conclude, the present findings provide clinicians a
nd researchers with an objective and quantitative basis for assessing
the force-generating capacity of thumb adductor muscles in either the
parallel or the perpendicular plane of adduction.